Brett L Pack, D.M.D.

NPI #1861683112 in Moses Lake, Washington

Provider Information

NPI Number: 1861683112
Entity Type: Individual
Name: Brett L Pack, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Aug 1, 2007
Last Updated: Aug 1, 2007

Practice Location

Address: 605 S COOLIDGE ST
City: Moses Lake
State: Washington
ZIP Code: 98837-1893
Phone: (509) 765-0674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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